NPI | 1255316444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 30582) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 30582) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2018-11-16 |