| NPI | 1184908295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.149325) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01091922A) |
| 208M00000X Hospitalist (Licence: OR MD165314) | |
| 208M00000X Hospitalist (Licence: KY 52355) | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2024-07-23 |