NPI | 1508215708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036149107) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036149107) |
207R00000X Internal Medicine (Licence: IL 036.149107) | |
208M00000X Hospitalist (Licence: IN 02007193A) | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2023-07-26 |