NPI | 1275198897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036165942) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036165942) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2024-01-11 |