NPI | 1235542317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-38846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08385) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2023-09-14 |