| NPI | 1366619595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036125643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41668) |
| 207RN0300X Internal Medicine Nephrology (Licence: WI 57367-20) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2024-01-10 |