| NPI | 1518951672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301059326) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301059326) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-04-10 |