NPI | 1164198420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 125079126) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 84910-20) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2025-09-28 |