| NPI | 1194105239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 57590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01080442A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 57590) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-10-29 |