NPI | 1689629057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA A93684) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD034206) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2014-04-01 |