| NPI | 1760897417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KS 04-44489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014018987) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-44489) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-07-19 |