| NPI | 1477971612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0013076) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DE C1-0013076) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2026-04-04 |