| NPI | 1932660321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO TL.0007757) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO TL.0007757) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-04-25 |