| NPI | 1114906773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101252236) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101252236) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA MD204247) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD466948) | |
| 207R00000X Internal Medicine (Licence: PA MD466948) | |
| 207R00000X Internal Medicine (Licence: LA MD204247) | |
| 207R00000X Internal Medicine (Licence: VA 0101252236) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA MD204247) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD466948) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-03-31 |