| NPI | 1770750044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0058334) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 39870) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU MTL-2020-004) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GU M-2207) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-03-23 |