| NPI | 1386908747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 14842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14842) |
| 207R00000X Internal Medicine (Licence: MI 4301101312) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND 14842) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2020-10-26 |