NPI | 1932492147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 272732) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02210) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2017-10-25 |