NPI | 1285626325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00028243) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00028243) |
Enumeration Date | 2005-08-16 |
Last Update Date | 2015-06-04 |