NPI | 1669490454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A49131) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A49131) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2014-12-30 |