NPI | 1356737308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036145978) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036145978) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2018-05-10 |