| NPI | 1073749412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 258442) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 258442) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2017-07-20 |