| NPI | 1013325752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME149425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152634) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A152634) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2022-05-10 |