| NPI | 1356517395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME135898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01068374A) |
| 207R00000X Internal Medicine (Licence: IN 111014047a) | |
| 207R00000X Internal Medicine (Licence: FL ME135898) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME135898) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2024-03-22 |