NPI | 1285808311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101245486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46496) |
207R00000X Internal Medicine (Licence: TX M2089) | |
Enumeration Date | 2008-04-18 |
Last Update Date | 2011-02-28 |