| NPI | 1104002666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 66648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046093) |
| 208M00000X Hospitalist (Licence: CT 046093) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2012-11-07 |