| NPI | 1003377912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME162499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME162499) |
| 208M00000X Hospitalist (Licence: TX T8299) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-06-25 |