| NPI | 1225084619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0429957) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 10743) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-29957) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-11-21 |