| NPI | 1467708412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME149751) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME149751) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-07-09 |