NPI | 1952525123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 20A14198) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV DO1631) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2016-06-14 |