| NPI | 1720087877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A67076) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A67076) |
| 207R00000X Internal Medicine (Licence: CA A67076) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-10-25 |