NPI | 1093875973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 062202) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062202) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2015-03-13 |