NPI | 1952527210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 26966) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 6502) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-07-12 |