NPI | 1659760833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-46321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021036986) |
207R00000X Internal Medicine (Licence: SC 51377) | |
207R00000X Internal Medicine (Licence: NV 19526) | |
207R00000X Internal Medicine (Licence: IL 036154980) | |
207R00000X Internal Medicine (Licence: FL ME163421) | |
208M00000X Hospitalist (Licence: IL 036154980) | |
208M00000X Hospitalist (Licence: MO 2021036986) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2024-03-14 |