NPI | 1780259762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-170927) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125078163) |
Enumeration Date | 2021-05-23 |
Last Update Date | 2024-09-12 |