NPI | 1962634592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 5101018182) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018182) |
Enumeration Date | 2009-08-15 |
Last Update Date | 2016-05-04 |