| 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 |