| NPI | 1922254184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 051569) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: CT 051569) | |
| 207R00000X Internal Medicine (Licence: CT 051569) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2013-12-04 |