| NPI | 1528419496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101266586) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101266586) |
| 207R00000X Internal Medicine (Licence: IL 125068143) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2026-08-28 |