NPI | 1679625180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D66585) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD T0535) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2013-02-08 |