NPI | 1548247463 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 46055) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46055) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2014-06-12 |