| NPI | 1427031145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME106428) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME106428) |
| 207R00000X Internal Medicine (Licence: OH 35080329D) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME106428) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-03-23 |