| NPI | 1689023897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036148588) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.030487) |
| 207R00000X Internal Medicine (Licence: IL 036148588) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125068040) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-06-25 |