| NPI | 1841344231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI WI-26924) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 26924020) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-11-18 |