| NPI | 1205047255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5348) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.084736) |
| 207Q00000X Family Medicine (Licence: NY 236617) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 236617) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.084736) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-06-25 |