| NPI | 1083875132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WI 81491-21) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WY 9881A) |
| 208M00000X Hospitalist (Licence: FL OS11972) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-07-14 |