| NPI | 1417376468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0024331) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0024331) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-07-21 |