| NPI | 1235183492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2007-0583) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0062023) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD427577) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2007-0583) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-04-05 |