| NPI | 1316994460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 200600001779) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2006001779) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-12-21 |