NPI | 1376531780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 131084) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 131084) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2015-09-15 |