| NPI | 1982834594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 45548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094131) |
| 208M00000X Hospitalist (Licence: AZ 45548) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-04-17 |