| NPI | 1467896365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KY 49203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49203) |
| 208M00000X Hospitalist (Licence: KY 49203) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-05-16 |