| NPI | 1689769044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME104902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 104902) |
| 208M00000X Hospitalist (Licence: FL ME104902) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-03-17 |