| NPI | 1124375415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 37151) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 37151) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-08-01 |