NPI | 1730163163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35-089007) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 2167963) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2011-07-22 |