| NPI | 1245488659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 44934) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MS 20716) |
| 207R00000X Internal Medicine (Licence: MI 4301093284) | |
| 207P00000X Emergency Medicine (Licence: MS 20716) | |
| 207R00000X Internal Medicine (Licence: KY 44934) | |
| 207Q00000X Family Medicine (Licence: KY 44934) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2026-04-06 |