| NPI | 1285826404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDR.0001181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 51870-20) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 119398) | |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2024-09-14 |