| NPI | 1265815021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME142882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301107774) |
| 207R00000X Internal Medicine (Licence: FL ME142882) | |
| 208M00000X Hospitalist (Licence: FL ME142882) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-06-14 |