| 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 |