| NPI | 1992753263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 25890) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 25890) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-05-15 |