NPI | 1568572402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 45843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2002017394) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2002017394) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-12-03 |