| NPI | 1407061781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 56337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085851) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 65992) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 22153) | |
| 208M00000X Hospitalist (Licence: OH 35.092022) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2019-01-03 |