NPI | 1346385507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0008373) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE MD5334) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2015-02-02 |