| NPI | 1063721769 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 04-40827)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036135040)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-40827)  | |
| Enumeration Date | 2010-09-28 | 
| Last Update Date | 2018-12-10 |