| NPI | 1578613543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A117765) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A117765) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-10-28 |