| NPI | 1083615058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NC 200101075) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200101075) |
| 207R00000X Internal Medicine (Licence: NC 200101075) | |
| 208M00000X Hospitalist (Licence: NC 200101075) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2023-05-03 |