| NPI | 1952959033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2019023331) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2024019068) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-01-02 |