| NPI | 1720147622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 23196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60436625) |
| 207R00000X Internal Medicine (Licence: NE 23196) | |
| 208M00000X Hospitalist (Licence: NE 23196) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-04-23 |