NPI | 1215923685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 187398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 187398) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2009-12-16 |