| NPI | 1780160275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2021025564) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021025564) |
| 208M00000X Hospitalist (Licence: MO 2021025564) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-04-19 |