| NPI | 1902884224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 04-21699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-21699) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KS 04-21699) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: KS 04-21699) | |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: KS 04-21699) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2022-01-20 |