NPI | 1316017742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MI 4301039549) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301039549) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2012-04-25 |