| NPI | 1437604170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147385) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01082256A) |
| 208M00000X Hospitalist (Licence: ID 036147385) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.069163) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2023-01-27 |