| NPI | 1659535086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 68447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME109274) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 068447) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2020-11-16 |