NPI | 1982918199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.121948) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08798300) |
207RN0300X Internal Medicine, Nephrology (Licence: GA 065077) | |
208M00000X Hospitalist (Licence: GA 65077) | |
Enumeration Date | 2010-07-29 |
Last Update Date | 2016-03-09 |