NPI | 1174588354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me0039374) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL me0039374) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2014-08-04 |