NPI | 1801080080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 260980) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432082) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2016-02-19 |