| NPI | 1215016571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036-121212) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-121212) |
| 207R00000X Internal Medicine (Licence: OH 35088242) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-03-29 |