| NPI | 1780848309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 29561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091994) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 46759) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MT198912) | |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2020-11-20 |