NPI | 1194379867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036159278) |
Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IL 036159278) |
208M00000X Hospitalist (Licence: IL 036159278) | |
Enumeration Date | 2019-07-30 |
Last Update Date | 2025-01-06 |