| NPI | 1427160795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-26980) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |