| NPI | 1174616668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301115017) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ND LT10348) |
| 207R00000X Internal Medicine (Licence: IA 37498) | |
| 207R00000X Internal Medicine (Licence: MI 4301115017) | |
| 207R00000X Internal Medicine (Licence: WV 33201) | |
| 207R00000X Internal Medicine (Licence: ND LT10348) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 33201) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-09-26 |