| NPI | 1447201447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 15218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME84716) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2025-01-15 |