NPI | 1558355347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 032835) |
Additional Taxonomies | 174400000X Specialist (Licence: CT 32835) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2013-08-15 |