| NPI | 1689369779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C7-0018244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0024973) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-06-24 |