| NPI | 1417225319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 56545) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 53235) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-05-18 |