NPI | 1083142152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.152811) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-070791) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2022-10-31 |