| NPI | 1508804733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME97483) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: AL 24778) |
| 207RN0300X Internal Medicine Nephrology (Licence: FL ME97483) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-07-21 |