| NPI | 1386755056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 2008015506) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2008015506) |
| 207R00000X Internal Medicine (Licence: CA C129918) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-07-13 |