NPI | 1629189113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA G761440) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G76144) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-08-16 |