NPI | 1568628485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD460306) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036127429) |
207R00000X Internal Medicine (Licence: IL 036127429) | |
Enumeration Date | 2008-07-30 |
Last Update Date | 2021-06-18 |