| NPI | 1225052483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G053658) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G053658) |
| 207R00000X Internal Medicine (Licence: CA G053658) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-03-18 |