| NPI | 1841214061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 34325-020) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WI 34325-020) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-11-24 |