| NPI | 1679732317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 243852) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 243852) |
| 207R00000X Internal Medicine (Licence: MA 243852) | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2022-07-21 |