| NPI | 1871716613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013011064) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2013011064) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 57083) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-12-06 |