| NPI | 1659331387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 7161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 25730) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |