| NPI | 1477086239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.154316) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 341333) |
| 208M00000X Hospitalist (Licence: IL 036154316) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10058790) | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2024-12-26 |