| NPI | 1528030376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 76904) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 54458) |
| 208M00000X Hospitalist (Licence: OH 35054458) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301114199) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2026-04-14 |