| NPI | 1356750350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 289563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60555059) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD483432) | |
| 208M00000X Hospitalist (Licence: WI 65644-20) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-03-07 |