| NPI | 1477712958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2013-01477) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2013-01477) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2013-01477) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-08-17 |