| NPI | 1124256797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 104882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME104882) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-01-12 |