| NPI | 1225579923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0061441) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0061441) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2023-07-19 |