NPI | 1316476997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036151667) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070710) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2020-08-06 |