| NPI | 1871900753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A146590) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A146590) |
| 207RN0300X Internal Medicine Nephrology (Licence: PA MT205531) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2023-09-26 |