NPI | 1639580368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036163181) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101262372) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2023-05-02 |