NPI | 1164632980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 60509) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7748) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 38868) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 56324) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2014-03-24 |