| NPI | 1215119474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101254184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 048799) |
| 208M00000X Hospitalist (Licence: CT 048799) | |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-07-26 |