| NPI | 1295218568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036.171823) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: IL 125080078) | |
| 208M00000X Hospitalist (Licence: IL 036171823) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2026-06-09 |