| NPI | 1700019874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX S8249) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443086) |
| 208M00000X Hospitalist (Licence: PA MD443086) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-05-07 |