| NPI | 1568462364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A73904) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CA a73904) |
| 207R00000X Internal Medicine (Licence: CA a73904) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2016-08-22 |