NPI | 1013543131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036.164377) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036164377) |
Enumeration Date | 2020-03-20 |
Last Update Date | 2024-02-05 |