| NPI | 1376572669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 274939) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME84249) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 28897) | |
| 208M00000X Hospitalist (Licence: FL ME84249) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-04-06 |