| NPI | 1669769246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036144017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 803-L) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 50230) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 57747) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 50230) | |
| 207R00000X Internal Medicine (Licence: KY 50230) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-09-06 |