NPI | 1851616783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME106687) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME106687) |
Enumeration Date | 2010-04-04 |
Last Update Date | 2014-08-13 |