| NPI | 1710724976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ R81096) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ZZ 428767) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-24 |