| NPI | 1558547943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 060340) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 060340) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2021-06-07 |