NPI | 1730392838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 62630) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 27707) |
207R00000X Internal Medicine (Licence: GA 062630) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2015-10-13 |