| NPI | 1659620698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 29086) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 29086) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2023-07-18 |