| NPI | 1003490970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2024008940) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024008940) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2026-09-30 |