| NPI | 1053609321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-42311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-42311) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-42311) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-07-11 |