Okay, let’s tackle this. So Emil Engels has a strong educational background with an MBA and an MD. He’s board-certified in internal medicine and has expertise in healthcare management. Location is Oakton, Virginia, which is a suburb of Washington D.C. and has a high cost of living. Physicians with similar expertise and experience in the D.C. area can charge higher rates. Maybe around $200–$300 per hour? But considering his board certification, MBA, and experience in healthcare management, I’d estimate around $250 per hour. This is slightly higher than the average rate for internal medicine physicians in the D.C. area, but his additional expertise and education justify the higher rate.