| NPI | 1447679808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 73745) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 73745) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2025-02-11 |