NPI | 1265883441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036150095) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036150095) |
208M00000X Hospitalist (Licence: IL 036150095) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-02-23 |