| NPI | 1215912126 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.162090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036162090) |
| 208M00000X Hospitalist (Licence: IA 36737) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-07-25 |