| NPI | 1265666325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0009589)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0009589)  | 
| Enumeration Date | 2009-05-05 | 
| Last Update Date | 2014-10-23 |