NPI | 1104002872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036119779) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036119779) |
Enumeration Date | 2008-01-12 |
Last Update Date | 2021-04-07 |