NPI | 1316239551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0011313) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0011313) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2015-05-29 |