| NPI | 1225067713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME15839) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME15839) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |