| NPI | 1902872674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: SD 5391) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD S5391) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-12-20 |