NPI | 1497745798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 29043) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 29043) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2012-07-30 |