NPI | 1134186927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 212780) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 212780) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2009-07-15 |