NPI | 1649378365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 24308) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2004013314) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-31258) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2010-07-21 |