NPI | 1821064064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10006226) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10006226) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2011-08-02 |