NPI | 1902545783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036174483) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036174483) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2025-09-04 |