| NPI | 1609193507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD464836) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 270671) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2018-11-20 |