| NPI | 1295937365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0009675) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C1-0009675) |
| 208000000X Pediatrics (Licence: RI LP01077) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2018-11-29 |