| NPI | 1609372986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 26698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 26698) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 26698) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-07-15 |