NPI | 1174784904 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P5215) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 204576) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2019-08-28 |