| NPI | 1124369855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036144820) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.144820) |
| 207R00000X Internal Medicine (Licence: TX BP10050246) | |
| 208M00000X Hospitalist (Licence: IL 036144820) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2023-03-29 |