| NPI | 1861658411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-0814) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2019-0814) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2019-0814) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-08-15 |