| NPI | 1235690173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0106502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0029362) |
| 208M00000X Hospitalist (Licence: MA 1021948) | |
| 208M00000X Hospitalist (Licence: KS 04-46017) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-09-18 |