| NPI | 1629266341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.134881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036134881) |
| 208M00000X Hospitalist (Licence: NY 003612) | |
| 208M00000X Hospitalist (Licence: MD D74204) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-08-17 |