NPI | 1003046806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2014-0877) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-0877) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2016-11-21 |