NPI | 1962089631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-54646) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 72140) |
207R00000X Internal Medicine (Licence: MN 72140) | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2025-06-30 |