NPI | 1356537179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.131216) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.131216) |
208M00000X Hospitalist (Licence: MO 2010014085) | |
208M00000X Hospitalist (Licence: IL 036131216) | |
Enumeration Date | 2007-09-16 |
Last Update Date | 2024-10-21 |