NPI | 1386807998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 40902) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 40902) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2019-02-05 |