NPI | 1083741441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 52900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257697) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-07-23 |