| NPI | 1821376609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MA 1017683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51172) |
| 207RN0300X Internal Medicine Nephrology (Licence: CT 051162) | |
| 208M00000X Hospitalist (Licence: CT 51172) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2024-05-23 |