| NPI | 1679151450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0106477) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101281883) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101281883) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2026-07-20 |