| NPI | 1669662201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NC 2009-02110) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NC 2009-02110) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-03-09 |