| NPI | 1780857912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 262472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-120193) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 262472) | |
| 208M00000X Hospitalist (Licence: IL 036-120193) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2018-05-15 |