| NPI | 1841827284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO3543) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0024281) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-07-13 |