| NPI | 1386681260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0006482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C20006482) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-12-14 |