NPI | 1134379126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A136533) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 49991) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2019-06-03 |