| NPI | 1952742298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: WA MD61636904) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 29727) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2025-08-14 |