NPI | 1295990588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0009038) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0079914) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2025-02-13 |