| NPI | 1558571497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 38515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-7904) |
| 207R00000X Internal Medicine (Licence: IA 38515) | |
| 208M00000X Hospitalist (Licence: IA 38515) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-10-31 |