| NPI | 1023464732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 29783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056896) |
| 207R00000X Internal Medicine (Licence: MA 287774) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-03-03 |