| NPI | 1164614517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 243686) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 243686) |
| 208M00000X Hospitalist (Licence: MA 243686) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2026-08-18 |