NPI | 1538540240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MO 2024023409) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036.144930) |
208M00000X Hospitalist (Licence: IL 036144930) | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2024-09-17 |