| NPI | 1467708412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME149751) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RN0300X Internal Medicine Nephrology (Licence: FL ME149751) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-06-24 |