NPI | 1760692529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD28797) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD.60218223) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2011-08-18 |