| NPI | 1992290928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 76406) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.155854) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.155854) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2026-05-05 |