NPI | 1548464944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011887) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003778) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2025-10-08 |