| NPI | 1023334828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 321121) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC MD37848) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2024-05-30 |