NPI | 1871633891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00023875) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00023875) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-07-31 |