| NPI | 1972814663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-36423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-36423) |
| 207R00000X Internal Medicine (Licence: MO 2016026397) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-08-28 |