NPI | 1588620108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD17955) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101237024) |
Enumeration Date | 2006-04-22 |
Last Update Date | 2017-02-16 |