| NPI | 1689604035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9801484) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NC 9801484) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 9801484) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-06-20 |