| NPI | 1265450217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KS 05-32943) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 898) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 112926) | |
| 208M00000X Hospitalist (Licence: MO 112926) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-10-26 |