| NPI | 1518142991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101255575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440376) |
| 208M00000X Hospitalist (Licence: MD D66995) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 59222) | |
| 208M00000X Hospitalist (Licence: PA MD440376) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2025-02732) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2025-09-30 |