NPI | 1306101068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-42383) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS PENDING) |
207R00000X Internal Medicine (Licence: IL 036-138361) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2024-10-11 |