| NPI | 1255714549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 67093) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 75035) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2022-09-12 |