NPI | 1649458712 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01071215A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036120262) |
207R00000X Internal Medicine (Licence: IL 036120262) | |
Enumeration Date | 2008-01-31 |
Last Update Date | 2017-11-15 |