| NPI | 1780003624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME160785) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: NC 2016-01516) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2016-01516) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2024-04-19 |