NPI | 1104810621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 012964) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 12964) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2017-02-01 |