| NPI | 1801086640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IN 01073178A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012003999) |
| 208M00000X Hospitalist (Licence: MO 2012003999) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-05-21 |