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 |