NPI | 1093796286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 70026) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME70026) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2021-06-10 |