| NPI | 1881968188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 64948) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014029667) |
| 207R00000X Internal Medicine (Licence: WI 64948) | |
| 208M00000X Hospitalist (Licence: NC 2012-01401) | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-02-03 |