NPI | 1508882572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 4437) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4437) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2014-12-30 |