| NPI | 1992852792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 43807) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 43807) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-03-22 |