| NPI | 1154941185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-53969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.076796) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12692) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2025-07-16 |