| NPI | 1689872475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 059489) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 059489) |
| 207R00000X Internal Medicine (Licence: GA 059489) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-12-04 |