| NPI | 1629225529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME173960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D73780) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0073780) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D73780) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D73780) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2025-08-06 |