| NPI | 1922457217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.149461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.149461) |
| 208M00000X Hospitalist (Licence: IN 01081495A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-03-13 |