| NPI | 1710160023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 060378) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 060378) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME128329) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-10-05 |