| NPI | 1255527339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: GA 059794) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 059794) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2011-10-19 |