| NPI | 1497966600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME133905) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086088) |
| 207R00000X Internal Medicine (Licence: FL ME133905) | |
| 207R00000X Internal Medicine (Licence: GA 83157) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 83157) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 52218) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2024-06-14 |