NPI | 1518127950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036121967) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036121967) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2021-04-29 |