NPI | 1083694103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0031824) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0031824) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2009-09-02 |