| NPI | 1821318239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 070114) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 70114) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2025-07-22 |