NPI | 1326509647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036158860) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073626) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2022-09-06 |