| NPI | 1447740014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL 148408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME148408) |
| 208M00000X Hospitalist (Licence: FL ME148408) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-09-14 |