| NPI | 1548233323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200300248) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 200300248) |
| 207RN0300X Internal Medicine Nephrology (Licence: NC 200300248) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2025-02-05 |