NPI | 1831374594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036117597) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50327) |
208M00000X Hospitalist (Licence: KY 50327) | |
Enumeration Date | 2007-12-31 |
Last Update Date | 2023-10-10 |