| NPI | 1033503289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101278273) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101278273) |
| 208M00000X Hospitalist (Licence: VA 0101278273) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-04-24 |