| NPI | 1528473790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036147340) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: PA MD461803) | |
| 207R00000X Internal Medicine (Licence: IN 036147340) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-04-24 |