NPI | 1235243379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9939) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036131599) |
207R00000X Internal Medicine (Licence: IL 036131599) | |
207R00000X Internal Medicine (Licence: CA A94292) | |
207R00000X Internal Medicine (Licence: IN 01061444A) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2019-03-04 |