NPI | 1275545147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 38114) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0038114) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2018-10-24 |