| NPI | 1164487161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301095426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095426) |
| 208M00000X Hospitalist (Licence: CA A91308) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-12-05 |