NPI | 1700804192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI MD 10730) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 037829) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-07-08 |