| NPI | 1629170741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2010007598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010007598) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2010007598) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2010007598) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2018-07-18 |