| NPI | 1891089926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 92991) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: UT 7960601-1205) |
| 208M00000X Hospitalist (Licence: UT 79606011205) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-06-17 |