| NPI | 1770620049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 220639) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA 220639) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-08-10 |