| NPI | 1518405075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL ME160396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME160396) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2024-09-10 |