NPI | 1346381001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60138672) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 23971) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2015-09-28 |