NPI | 1003812926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301115814) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 104853) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2018-09-04 |