| NPI | 1104873355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 55776) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 55776) |
| 208M00000X Hospitalist (Licence: TN 55776) | |
| 207R00000X Internal Medicine (Licence: FL ME119980) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-13 |