| NPI | 1629385117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NC 2020-03114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 12774) |
| 208M00000X Hospitalist (Licence: ND 12774) | |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-01-21 |