| NPI | 1164620324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 238591) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 238591) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 050561) | |
| 208M00000X Hospitalist (Licence: MA 238591) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2023-02-03 |