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 |