| NPI | 1528032687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 28557) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 28557) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2021-06-10 |