| NPI | 1093169419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA11921200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71642-20) |
| 207R00000X Internal Medicine (Licence: IL 036149239) | |
| 208M00000X Hospitalist (Licence: IL 036149239) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-01-24 |