NPI | 1811906894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 00A299270) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 00A299270) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2014-01-22 |