NPI | 1063477529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0003983) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0003983) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2024-06-06 |