NPI | 1720184310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A79816) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79816) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2011-11-02 |