| NPI | 1326359308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-36315) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-36315) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2022-07-21 |