| NPI | 1053763300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 34526) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: UT 11263857-1205) |
| 207R00000X Internal Medicine (Licence: NE 7818) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 9165) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-07-25 |