NPI | 1932212404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-21399) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R8982) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2018-12-18 |