| NPI | 1649479742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145373) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5566) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 53296) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 53296) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 104914) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2020-10-02 |