| NPI | 1528405685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: RI LP02814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02814) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 278798) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2020-04-27 |