| NPI | 1700016722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 47074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 47074) |
| 208M00000X Hospitalist (Licence: KY 47074) | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2017-08-30 |