NPI | 1881048445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036167021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2023-1381) |
207R00000X Internal Medicine (Licence: NC 2020-04753) | |
207R00000X Internal Medicine (Licence: AZ 60880) | |
207R00000X Internal Medicine (Licence: FL ME136793) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2024-02-12 |