NPI | 1205837887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 203570) |
Additional Taxonomies | 174400000X Specialist (Licence: RI MD11417) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2008-12-28 |