| NPI | 1578519922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: SD 4695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 4695) |
| 207R00000X Internal Medicine (Licence: MN 42828) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 42828) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SD 4695) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 42828) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: SD 4695) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-03-28 |