NPI | 1992053441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA AFE22005) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA AFE22005) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-08-15 |