NPI | 1124028808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10003054) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0003054) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2017-08-22 |