| NPI | 1073667770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL 105859) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL 105859) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-03-07 |