| NPI | 1356521033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OK 28940) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 62937) |
| 208M00000X Hospitalist (Licence: TX N3441) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2015-02-11 |