| NPI | 1023646486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0027051) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 322185) |
| 208M00000X Hospitalist (Licence: MD D0101602) | |
| 207R00000X Internal Medicine (Licence: NY 322185) | |
| 207R00000X Internal Medicine (Licence: DE C1-0027051) | |
| 207R00000X Internal Medicine (Licence: MD D0101602) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-12-17 |