| NPI | 1790992675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013042711) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036139742) |
| 208M00000X Hospitalist (Licence: MO 2013042711) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2021-03-31 |