NPI | 1164428207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 037730) |
Additional Taxonomies | 174400000X Specialist (Licence: CT 037730) |
174400000X Specialist | |
Enumeration Date | 2005-06-23 |
Last Update Date | 2013-07-02 |