| NPI | 1760536650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-32402) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-32402) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-08-26 |