| NPI | 1093763690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME76006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0076006) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-01-30 |