| NPI | 1730435108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 28431) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 28431) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2018-08-07 |