NPI | 1225358666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 5389) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 34942) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G23993) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 169856-1205) | |
Enumeration Date | 2010-06-08 |
Last Update Date | 2010-06-08 |