NPI | 1396001764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036164800) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 297171) |
207R00000X Internal Medicine (Licence: NY 297171) | |
207R00000X Internal Medicine (Licence: IL 036164800) | |
Enumeration Date | 2012-04-10 |
Last Update Date | 2023-06-27 |