| NPI | 1093372682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OR MD221174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11499) |
| 207R00000X Internal Medicine (Licence: OR MD221174) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-08-21 |