| NPI | 1801456892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2022017844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022017844) |
| 208D00000X General Practice (Licence: MO 2022017844) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2023-06-14 |