| NPI | 1063402857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D53611) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D0053611) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-12-19 |