| NPI | 1255786216 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 73207) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 70925) | 
| 207R00000X Internal Medicine (Licence: WI 70925) | |
| Enumeration Date | 2016-04-27 | 
| Last Update Date | 2023-09-25 |