NPI | 1215687181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036170622) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 85387-20) |
207R00000X Internal Medicine (Licence: IL 036170622) | |
Enumeration Date | 2022-03-24 |
Last Update Date | 2025-08-08 |