| NPI | 1841511532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101022852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036137647) |
| 208M00000X Hospitalist (Licence: IL 036137647) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2023-04-13 |