NPI | 1275655292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036084164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-084164) |
207R00000X Internal Medicine (Licence: IL 036084164) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2018-10-25 |