| NPI | 1427477223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 96265) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-12-14 |