| NPI | 1043500259 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2014040548)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014040548)  | 
| Enumeration Date | 2011-04-10 | 
| Last Update Date | 2023-09-21 |