NPI | 1932167004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 23377) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 23377) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2011-10-10 |