NPI | 1609838218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 037021) |
Additional Taxonomies | 174400000X Specialist (Licence: CT 037021) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2014-08-04 |