| NPI | 1063802148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2024-00401) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 91103) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-07-09 |