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 |