| NPI | 1912511775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0026855) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 32505) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-03-06 |