| NPI | 1104841360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124752) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME124752) |
| 208M00000X Hospitalist (Licence: FL ME124752) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: FL ME124752) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2026-09-28 |