NPI | 1306823471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10005316) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10005316) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2017-08-25 |