| NPI | 1891921524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2017031969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194414) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NH 16966) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 261829) | |
| 208M00000X Hospitalist (Licence: MO 2017031969) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2019-03-06 |