| NPI | 1265415541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 064864) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 23260) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 064864) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2026-01-13 |