| NPI | 1053448431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0008799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c7-0003194) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2013-10-30 |