| NPI | 1255861001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084186A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070266) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD484066) | |
| 208M00000X Hospitalist (Licence: IL 036152123) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-02-22 |