| NPI | 1487183604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036152969) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036152969) |
| 207R00000X Internal Medicine (Licence: IL 125069815) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2024-12-16 |