NPI | 1497106983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036169509) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.068402) |
Enumeration Date | 2016-06-26 |
Last Update Date | 2024-05-17 |