NPI | 1639581127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036163598) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.163598) |
208M00000X Hospitalist (Licence: IL 036.163598) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2024-02-12 |