| 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 |