NPI | 1497823595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 34009295) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI MD014193) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI MD014193) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2012-03-29 |