NPI | 1104934082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A79236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79236) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2018-10-22 |