| NPI | 1215934245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0002720) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C10002720) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2019-10-18 |