NPI | 1003179912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301513341) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061650) |
207R00000X Internal Medicine (Licence: IL 036138298) | |
208000000X Pediatrics (Licence: IL 125061650) | |
208000000X Pediatrics (Licence: IL 036138298) | |
208000000X Pediatrics (Licence: MI 4301513341) | |
208M00000X Hospitalist (Licence: IL 036138298) | |
Enumeration Date | 2012-06-17 |
Last Update Date | 2025-06-24 |