| NPI | 1073010831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101273056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273056) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101273056) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-11-07 |