| NPI | 1093393878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0029856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0107449) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2026-08-11 |