NPI | 1932251527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036124196) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036124196) |
207R00000X Internal Medicine (Licence: IL 036-124196.) | |
207R00000X Internal Medicine (Licence: MA 229791) | |
207R00000X Internal Medicine (Licence: IL 036.124196) | |
Enumeration Date | 2007-01-17 |
Last Update Date | 2021-12-22 |