NPI | 1144470584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136534) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 24139) |
207R00000X Internal Medicine (Licence: IL 036136534) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2019-01-23 |