| NPI | 1043235377 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD20251) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID M7108) |
| 207RN0300X Internal Medicine, Nephrology (Licence: ID M7108) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-06-29 |