NPI | 1316233711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036133900) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036133900) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2017-03-06 |