| NPI | 1568762763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME123224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57018194) |
| 207R00000X Internal Medicine (Licence: FL ME123224) | |
| 208M00000X Hospitalist (Licence: LA MD.206258) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2018-12-18 |