| NPI | 1700070125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME141254) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 243803) |
| 207R00000X Internal Medicine (Licence: PA MD448376) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-11-16 |