| NPI | 1871706713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 27204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2007012291) |
| 208M00000X Hospitalist (Licence: IL 036-118563) | |
| 208M00000X Hospitalist (Licence: MO 2007012291) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-12-11 |