NPI | 1083812515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 67193) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 067193) |
207RN0300X Internal Medicine Nephrology (Licence: GA 67193) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2018-11-15 |