| NPI | 1013277714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036136062) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 64397) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125060987) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2024-04-25 |