| NPI | 1972058089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS17248) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101023749) |
| 207R00000X Internal Medicine (Licence: MI 5101023749) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101025960) | |
| 207R00000X Internal Medicine (Licence: FL OS17248) | |
| 207R00000X Internal Medicine (Licence: MI 5101025960) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101023749) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL OS17248) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 5101025960) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2021-06-28 |