| NPI | 1437503000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0027891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 63220) |
| 207R00000X Internal Medicine (Licence: MD D0096524) | |
| 208M00000X Hospitalist (Licence: NY 299481) | |
| 208M00000X Hospitalist (Licence: AZ 63220) | |
| 208M00000X Hospitalist (Licence: MD D0096524) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-06-23 |