| NPI | 1770924631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2025010873) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2019-01582) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01094819A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2025010873) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD487013) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01094819A) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2026-08-11 |