| NPI | 1285801829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 50684) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203669) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 50684) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2015-01-12 |