NPI | 1134216237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 113971) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 113971) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2011-09-14 |