| NPI | 1528610425 |
|---|---|
| Professional Name | NICHOLAS RUSSELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA 17490) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |