| NPI | 1134152051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME43775) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0043775) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-04-15 |