| NPI | 1083665806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0010876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152379) |
| 208M00000X Hospitalist (Licence: MA 152379) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-05-28 |