| NPI | 1295910099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NV 17507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 17507) |
| 207R00000X Internal Medicine (Licence: AZ 42789) | |
| 208M00000X Hospitalist (Licence: AZ 42789) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2024-02-01 |