| NPI | 1124087721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C141252) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: CA C141252) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2021-03-02 |