| NPI | 1083077549 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A168104) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NH 19117) | 
| Enumeration Date | 2016-04-01 | 
| Last Update Date | 2024-08-15 |