| NPI | 1760010805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: DE C1-0027194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0027194) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-08-28 |