| NPI | 1538664230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-01597) |
| 207R00000X Internal Medicine (Licence: GA 88981) | |
| 207R00000X Internal Medicine (Licence: SC 86240) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 86240) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2024-01597) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2024-01597) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 88981) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 86240) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-04-08 |