| NPI | 1316113004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 38555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38555) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 38555) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2021-06-02 |