| NPI | 1710548177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0102992) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 33607) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MD D0102992) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-08-04 |