| NPI | 1972507630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 79118) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 79118) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2023-03-05 |