| NPI | 1093247611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD29393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD29393) |
| 208M00000X Hospitalist (Licence: NC 2020-03225) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2025-07-02 |