NPI | 1932122637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD004335E) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD004335E) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2011-05-26 |