NPI | 1558336214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-110080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036110080) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2014-01-24 |