| NPI | 1356738561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.145453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336.106791) |
| 207R00000X Internal Medicine (Licence: IL 036.145453) | |
| 208M00000X Hospitalist (Licence: IL 336.106791) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2018-08-31 |