| NPI | 1730163502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 036848) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 036848) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-03-22 |