| NPI | 1306336375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 69766) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: AZ 69766) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-06-21 |