| NPI | 1063491397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS024838C) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61188829) |
| 208M00000X Hospitalist (Licence: ME DO2727) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 34C.000067) | |
| 207R00000X Internal Medicine (Licence: NH 25412) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NH 25412) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ME DO2727) | |
| 207R00000X Internal Medicine (Licence: MA 212775) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 212775) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2025-12-02 |