| NPI | 1245430727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 201100428) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 201100428) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 201100428) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2013-07-23 |