| NPI | 1114367067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080676A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036140158) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.140158) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-07-07 |