| NPI | 1992897698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 23697) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 23697) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 23697) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-07-17 |