| NPI | 1386691269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD13319) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD13319) |
| 207R00000X Internal Medicine (Licence: OR MD13319) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OR MD13319) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-04-08 |