| NPI | 1073591533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME147800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 168449-1) |
| 208M00000X Hospitalist (Licence: IL 036132060) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2022-07-21 |