NPI | 1578720777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036129618) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 54620-20) |
207RN0300X Internal Medicine, Nephrology (Licence: IL 036129618) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2020-02-04 |