| NPI | 1003127432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 26204) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 26204) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-01-06 |