| NPI | 1245640515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR DO212540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204452) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102204452) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT MEDPHYSCOMLIC112419) | |
| 208D00000X General Practice (Licence: VA 0102204452) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-11-11 |