| 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 |