| NPI | 1871085134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 042.0017863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04290) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VT 1871085134) | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2024-08-28 |