NPI | 1235511247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0440777) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0440777) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-07-03 |