| NPI | 1508098112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME123374) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D74149) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2018-01-02 |