NPI | 1487643292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC 5051) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 5051) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2017-05-12 |