NPI | 1265844112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0012021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4017) |
Enumeration Date | 2014-05-27 |
Last Update Date | 2017-07-07 |