NPI | 1053666107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0085519) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0085519) |
Enumeration Date | 2012-07-16 |
Last Update Date | 2018-07-23 |