| NPI | 1265060172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD600006113) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0107191) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-08-17 |