| NPI | 1972552552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 0421697) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 329171) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R6G52) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-01-24 |