| NPI | 1902046246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 3533) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI EMC0000283) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036149505) | |
| 208M00000X Hospitalist (Licence: VA 0101250018) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 61201) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2023-12-01 |