NPI | 1649456336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P5822) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5822) |
Enumeration Date | 2008-01-13 |
Last Update Date | 2016-03-29 |