| NPI | 1386896660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 51838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 52221-020) |
| 207R00000X Internal Medicine (Licence: MN 51838) | |
| 207R00000X Internal Medicine (Licence: ND PT 11038) | |
| 208M00000X Hospitalist (Licence: MN 51838) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-06-03 |