| NPI | 1487133914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-49039) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8237) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-05-23 |