NPI | 1962431338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD066126L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD66126L) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-09-23 |