| NPI | 1144414244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2010018438) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MT 118196) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2023-0606) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2010018438) | |
| 208M00000X Hospitalist (Licence: MO 2010018438) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-08-27 |