NPI | 1295153922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036142860) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125065651) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2022-08-31 |