| NPI | 1568622686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036146320) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 03614632) |
| 207R00000X Internal Medicine (Licence: MI 4301092393) | |
| 207R00000X Internal Medicine (Licence: IL 036146320) | |
| 208M00000X Hospitalist (Licence: IL 03614632) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092393) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-06-21 |