| NPI | 1245494855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME113602) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME113602) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2018-10-04 |