| NPI | 1457523995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 235050) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 235050) |
| 207R00000X Internal Medicine (Licence: NY 235050) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2017-02-15 |