| NPI | 1366426579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A95900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A95900) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA a95900) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 226942) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2023-06-29 |