| NPI | 1841318052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2009022391) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01070118A) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-02-28 |