| NPI | 1609814128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036110747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46625) |
| 208M00000X Hospitalist (Licence: IL 036110747) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2021-04-23 |