| NPI | 1073704425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 277304) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.099745) |
| 207R00000X Internal Medicine (Licence: AZ PG permit 81581) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2023-02-03 |