| NPI | 1669632782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101264655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262848) |
| 207R00000X Internal Medicine (Licence: CT 049340) | |
| 208M00000X Hospitalist (Licence: CT 049340) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 262848) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2024-12-27 |