| NPI | 1710220389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2015-00435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-00435) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2015-00435) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2024-07-15 |