| NPI | 1982251336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 23862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V2263) |
| 208M00000X Hospitalist (Licence: TX V2263) | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-09-22 |