NPI | 1477508679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 19866) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 19866) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2011-05-06 |