| NPI | 1407051881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013295A) |
| 208M00000X Hospitalist (Licence: PA MD071954L) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-10-11 |