| NPI | 1437234895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 26172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 35400) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-08-22 |