| NPI | 1518138759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 48459) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 54483) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2016-02-10 |