NPI | 1649279902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 8918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 8918) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2012-02-01 |