| NPI | 1669608436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 073915) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 073915) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-05-23 |