| NPI | 1184742520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2008002675) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2008002675) |
| 207R00000X Internal Medicine (Licence: MO 2008002675) | |
| 207R00000X Internal Medicine (Licence: NE 22516) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-12-01 |