| NPI | 1407140064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 18681) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 18681) |
| 207R00000X Internal Medicine (Licence: PR 18681) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2018-06-01 |