NPI | 1174786651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 21647) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 21647) |
Enumeration Date | 2008-07-06 |
Last Update Date | 2017-03-17 |