| NPI | 1316048424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 200600873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200600873) |
| 208M00000X Hospitalist (Licence: NC 200600873) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-05-14 |