NPI | 1154313815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NV 8454) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A71052) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2016-11-08 |