NPI | 1720180227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 048482) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 0484282) |
Enumeration Date | 2006-09-04 |
Last Update Date | 2013-10-15 |