| NPI | 1083827554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2016-02451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 102905) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-06-03 |