| NPI | 1619351780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 323438) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CA A179351) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A179351) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 323438) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-12-12 |