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 | 2024-10-29 |