NPI | 1003308289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 59700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD475683) |
208M00000X Hospitalist (Licence: KY 59700) | |
Enumeration Date | 2018-06-04 |
Last Update Date | 2024-06-24 |