NPI | 1063831758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301105255) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105255) |
207RN0300X Internal Medicine, Nephrology (Licence: MI 4301105255) | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2023-02-15 |