| NPI | 1730685553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-44413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-44413) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2025006639) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-06-19 |