| NPI | 1598294837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A176564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070551) |
| 208M00000X Hospitalist (Licence: OH 35.140147) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-05-19 |