| NPI | 1427172006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD431669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D65303) |
| 207R00000X Internal Medicine (Licence: VA 0101240783) | |
| 208M00000X Hospitalist (Licence: VA 0101240783) | |
| 208M00000X Hospitalist (Licence: MD D65303) | |
| 208M00000X Hospitalist (Licence: NH LT-2572) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-11-22 |