| NPI | 1043896673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0024441) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100739) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-06-25 |