| NPI | 1457858383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 94-11681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4303) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2024-07-01 |