NPI | 1235131947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 18969) |
Additional Taxonomies | 174400000X Specialist (Licence: KY 18969) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2016-05-23 |