| NPI | 1932540820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME127350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127350) |
| 207R00000X Internal Medicine (Licence: MI 4301103645) | |
| 208M00000X Hospitalist (Licence: FL ME127350) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2021-03-31 |