NPI | 1013957125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G67716) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G67716) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2016-08-03 |