NPI | 1689819138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036134292) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 53410) |
208M00000X Hospitalist (Licence: IL 036128068) | |
Enumeration Date | 2008-12-12 |
Last Update Date | 2023-06-20 |