| NPI | 1790927895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A103283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103283) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A103283) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-07-02 |