NPI | 1013941590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 109882) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10007829) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-03-09 |