| NPI | 1992199079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0013122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0013122) |
| 208000000X Pediatrics (Licence: DE C1-0013122) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-09-04 |