NPI | 1205578309 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036173906) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036173906) |
Enumeration Date | 2022-04-08 |
Last Update Date | 2025-07-15 |