| NPI | 1770809824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 256711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256711) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 256711) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2020-02-11 |