| NPI | 1407801053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IA 29253) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 29253) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-10-30 |