| NPI | 1578024683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036159865) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036159865) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036159865) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036159865) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2026-05-11 |