NPI | 1255771358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.143664) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.143664) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2020-10-30 |