| NPI | 1144857384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0024245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS022725) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-07-30 |