NPI | 1851335939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 18286) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 18286) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2015-05-08 |