| NPI | 1982756599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 34508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200500182) |
| 207R00000X Internal Medicine (Licence: GA 060832) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 060832) | |
| 208M00000X Hospitalist (Licence: AL MD.34508) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-11-20 |