NPI | 1871873786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036133662) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036133662) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2019-10-07 |