| NPI | 1063776417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 66624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060753) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AZ 55575) | |
| 208M00000X Hospitalist (Licence: WI 63852-20) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2020-09-03 |