NPI | 1407032634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N9924) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9924) |
207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: TX N9924) | |
208D00000X General Practice (Licence: TX N9924) | |
Enumeration Date | 2008-01-17 |
Last Update Date | 2011-12-14 |