| NPI | 1093397846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-49603) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036174819) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2025-05-29 |