NPI | 1437415676 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0012801) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258274) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2018-08-31 |