| NPI | 1285839431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 070064) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: HI MD-15839) |
| 207R00000X Internal Medicine (Licence: HI MD-15839) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MA08786500) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-07-12 |