NPI | 1699174540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036144048) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036144048) |
Enumeration Date | 2014-08-16 |
Last Update Date | 2024-04-30 |