NPI | 1639167117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 197692) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 197692) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2008-03-19 |