NPI | 1194072405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 99562) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ZZ 7745) |
207RN0300X Internal Medicine, Nephrology (Licence: SC 52020) | |
208M00000X Hospitalist (Licence: SC 52020) | |
Enumeration Date | 2012-08-07 |
Last Update Date | 2024-06-07 |