| NPI | 1700235678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 04-47631) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 94-08936) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: MO 2023013876) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-08-25 |