| NPI | 1699770685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9400820) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 9400820) |
| 208M00000X Hospitalist (Licence: NC 9400820) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-10-21 |