| NPI | 1093789034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2001009904) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2001009904) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-03-29 |