| NPI | 1053870394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0097892) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036159371) |
| 207R00000X Internal Medicine (Licence: IL 125.073717) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: MD D0097892) | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2026-05-18 |