| NPI | 1316969595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME100758) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME100758) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-10-06 |