| NPI | 1346288982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-31711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2003009567) |
| 208000000X Pediatrics (Licence: KS 04-31711) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-04-30 |