NPI | 1700886686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 18507) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 18507-020) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2009-08-31 |