| NPI | 1114504206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 05-50931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 81481-21) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-05-29 |