| NPI | 1841428752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 30949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30949) |
| 207R00000X Internal Medicine (Licence: WA MD61441562) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2012011844) | |
| 208M00000X Hospitalist (Licence: MO 2020041626) | |
| 208M00000X Hospitalist (Licence: NE 27938) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-08-25 |