NPI | 1043674476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 68721-20) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 68721.20) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-03-22 |