| NPI | 1649527649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 053713) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 053713) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2017-03-20 |