| NPI | 1083024038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 56466) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 56466) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-12-15 |