NPI | 1073997672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-146203) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-146203) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2021-04-28 |