| NPI | 1457733297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 95330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107324) |
| 208M00000X Hospitalist (Licence: MI 4301107324) | |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2025-07-08 |