| NPI | 1174081699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036161329) |
| 207R00000X Internal Medicine (Licence: IL 036161329) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-07-04 |