NPI | 1649204504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 13294) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 8692) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2008-03-04 |