NPI | 1720519911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036152164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036152164) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2021-07-08 |