| NPI | 1811319197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A177318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 16440) |
| 207R00000X Internal Medicine (Licence: CT 65324) | |
| 208M00000X Hospitalist (Licence: NH unknown) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2022-08-24 |