| NPI | 1073702361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 11579) |
| 208M00000X Hospitalist (Licence: ND 11579) | |
| 208M00000X Hospitalist (Licence: IL 036.119301) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2023-12-28 |