NPI | 1306132196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2014021221) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX BP10054986) |
207R00000X Internal Medicine (Licence: UT 9003635-1205) | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2017-03-15 |