NPI | 1811919665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 6721) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G64648) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 27498) | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2015-01-15 |