| NPI | 1174971006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MS 31660) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: WI 70920-20) |
| 208M00000X Hospitalist (Licence: WI 70920-20) | |
| 207R00000X Internal Medicine (Licence: WI 70920) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-01-12 |