| NPI | 1487282539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C2-0024520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0100493) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-06-25 |