NPI | 1093010423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036128668) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054777) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036128668) | |
207RN0300X Internal Medicine, Nephrology (Licence: IL 036128668) | |
Enumeration Date | 2011-01-15 |
Last Update Date | 2025-06-05 |