| NPI | 1710266259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2023-00944) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 6806) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0116030828) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2026-03-11 |