| NPI | 1053796052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 019581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 019581) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-04-10 |