NPI | 1477716819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036142660) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 249364) |
208M00000X Hospitalist (Licence: NY 249364) | |
Enumeration Date | 2008-07-07 |
Last Update Date | 2017-04-05 |