NPI | 1316940455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD019573E) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD019573E) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2017-12-15 |