NPI | 1942655667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7131) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036158446) |
208M00000X Hospitalist (Licence: WI 81737-20) | |
207R00000X Internal Medicine (Licence: IL 036158446) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81737-20) | |
207R00000X Internal Medicine (Licence: IL 125074761) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036158446) | |
Enumeration Date | 2016-05-02 |
Last Update Date | 2025-07-09 |