| NPI | 1992065163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME124789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME124789) |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL 124789) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2024-03-20 |