| NPI | 1851692420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 52436) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 266212) |
| 207P00000X Emergency Medicine (Licence: MS 24459) | |
| 207R00000X Internal Medicine (Licence: NY 266212) | |
| 207R00000X Internal Medicine (Licence: TN 52436) | |
| 208M00000X Hospitalist (Licence: NY 266212) | |
| 208M00000X Hospitalist (Licence: TN 52436) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-03-30 |