NPI | 1609870443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0003869) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL OS3869) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2015-05-15 |