| NPI | 1427287267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 201201420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094184) |
| 208M00000X Hospitalist (Licence: NC 201201420) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2017-05-10 |