NPI | 1598940983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A98843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98843) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2013-09-25 |