NPI | 1932238656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C39454) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C39454) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2010-08-04 |