| NPI | 1437198033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10006175) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C10006175) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-09-11 |