| NPI | 1205046182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A117404) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.117500) |
| 207R00000X Internal Medicine (Licence: CA A117404) | |
| 208M00000X Hospitalist (Licence: CA A117404) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-02-18 |