NPI | 1124446315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036141317) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036141317) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2018-10-26 |