| NPI | 1386039436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 300547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 300547) |
| 207R00000X Internal Medicine (Licence: ND PT17594) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 300547) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND PT17594) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND 17594) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2023-12-28 |