| NPI | 1235314501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036131976) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0067795) |
| 207R00000X Internal Medicine (Licence: IL 036-131976) | |
| 208M00000X Hospitalist (Licence: IL 036-131976) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI P19551) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2022-01-05 |