| NPI | 1942254149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.25184) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: AL 25184) |
| 208600000X Surgery (Licence: AL 25184) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-06-03 |