| NPI | 1124129234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NV 12191) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 229490) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NV 12191) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 229490) | |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 229490) | |
| 207R00000X Internal Medicine (Licence: NY 229490) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-01-02 |