NPI | 1407888555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 200635) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 200635) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-07-23 |