| NPI | 1578979803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-02842) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 291043) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301119269) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2024-11-06 |