| NPI | 1376029298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036166410) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287838) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276731) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-12-06 |