| NPI | 1235186628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 33986) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 33986) |
| 207R00000X Internal Medicine (Licence: AZ 33986) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2023-10-04 |