| NPI | 1407008055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA 39027) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A111563) |
| 207R00000X Internal Medicine (Licence: IL 036134313) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036134313) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2020012130) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2024-01-04 |