| NPI | 1912972449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2003-00062) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2003-00062) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-11 |