| NPI | 1811004484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 058252) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 58252) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-04-09 |