| NPI | 1073281705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IA SP-0239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA SP-0239) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-09-16 |