NPI | 1952326217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101048055) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101048055) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2024-07-15 |