NPI | 1235135344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX H9639) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H9639) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2011-03-24 |