| NPI | 1396965547 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 057606)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 057606)  | 
| Enumeration Date | 2007-04-30 | 
| Last Update Date | 2015-12-28 |