| NPI | 1871656025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 3733) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A3733) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-02-01 |