| NPI | 1467665984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-10439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-33797) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-12-10 |