NPI | 1497947964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 46322) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46322) |
208M00000X Hospitalist (Licence: IL 036125356) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2022-03-15 |