| NPI | 1407827249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10005223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10005223) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-07-30 |