NPI | 1952310476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME139310) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 044184) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2019-08-13 |