| NPI | 1154321248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 61709) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 061709) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 061709) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-10-07 |