| NPI | 1639380926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 50591) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 50591) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 57005667) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2026-02-10 |