| NPI | 1255837597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A19111) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 87906) |
| 207R00000X Internal Medicine (Licence: CA 20A19111) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2026-06-04 |