NPI | 1023094273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G38301) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G38301) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2010-08-30 |