NPI | 1396484382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.079675) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036174372) |
Enumeration Date | 2022-05-31 |
Last Update Date | 2025-04-16 |