| NPI | 1780682377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101031824) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101031824) |
| 207R00000X Internal Medicine (Licence: VA 0101031824) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101031824) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-04-27 |