NPI | 1386871093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 31767) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL31767) |
Enumeration Date | 2009-06-20 |
Last Update Date | 2016-02-18 |