| NPI | 1750736880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2023-01294) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036149227) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-11-14 |