NPI | 1437604170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147385) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082256A) |
208M00000X Hospitalist (Licence: ID 036147385) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.069163) | |
Enumeration Date | 2016-08-23 |
Last Update Date | 2023-01-27 |