| NPI | 1417322256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0011726) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2020-03163) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2025-08-21 |