| NPI | 1750493250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 32684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 32684) |
| 207R00000X Internal Medicine (Licence: VA 0101240360) | |
| 208M00000X Hospitalist (Licence: SC 32684) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-11-17 |