| NPI | 1306942941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 26423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49069) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 49069) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-05-20 |