| NPI | 1033649819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2023-02991) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2017009602) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2019042701) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-01-18 |