| NPI | 1366732752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 67505) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 107749) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 107749) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2019-08-09 |