| NPI | 1073843074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: VT 042.0012471) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0012471) |
| 207R00000X Internal Medicine (Licence: NY 259193) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2012-06-22 |