NPI | 1295083210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036157814) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036157814) |
Enumeration Date | 2012-08-23 |
Last Update Date | 2025-10-02 |