| NPI | 1861446015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55570) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 42501) |
| 207R00000X Internal Medicine (Licence: OK 44614) | |
| 207R00000X Internal Medicine (Licence: WI 43959-20) | |
| 207R00000X Internal Medicine (Licence: OH 35.138059) | |
| 207R00000X Internal Medicine (Licence: MN 42501) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0002692) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2026-03-16 |