NPI | 1053427229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 19500) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 19500) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |