| NPI | 1518285451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301097734) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.014265) |
| 208M00000X Hospitalist (Licence: MI 4301097734) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2019-06-26 |