NPI | 1013446590 |
---|---|
Other Name | TALAYESA BUNTINX KRIEG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: RI MD17705) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03995) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2021-07-28 |