| NPI | 1295990588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE DR-0026356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0079914) |
| 207R00000X Internal Medicine (Licence: DE C1-0009038) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2026-01-29 |