| NPI | 1366954406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301507947) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301507947) |
| 207R00000X Internal Medicine (Licence: MI 4301507947) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-02-28 |