| NPI | 1023235058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: ID MC-1695) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: NV 19535) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-12-01 |