| NPI | 1306069562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL me121997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-097593) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 125049759) | |
| 208M00000X Hospitalist (Licence: IN 01066629) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-02-10 |