NPI | 1528631231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0027130) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0101043) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-07-11 |