| NPI | 1669602918 |
|---|---|
| Former Name | PETER JOACHIM JURCZYK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND 13707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 21685) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-07-21 |