| NPI | 1053604785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 90951) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D77181) |
| 208M00000X Hospitalist (Licence: OH 35.143973) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P26490) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2024-08-27 |