| NPI | 1073718466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 44189) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072444A) |
| 207R00000X Internal Medicine (Licence: PA MD432054) | |
| 207R00000X Internal Medicine (Licence: KY 44189) | |
| 208M00000X Hospitalist (Licence: PA MD432054) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-07-28 |