NPI | 1316003031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01062686A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062686A) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 30607) | |
Enumeration Date | 2006-12-28 |
Last Update Date | 2015-12-08 |