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 |