NPI | 1346398948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00016561) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G16875) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101234716) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |