| NPI | 1518177500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 081562) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085400) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 52149) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MN 52149) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MN 104428) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-09-27 |