NPI | 1982610267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 3153) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA G25579) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 18815) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-05-22 |