| NPI | 1487145710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101282430)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101282430)  | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101282430)  | |
| Enumeration Date | 2018-05-22 | 
| Last Update Date | 2024-09-10 |