| NPI | 1730521014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 63163) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2018-0462) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036153170) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-07-21 |