| NPI | 1093962805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 73261) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA T288933) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2023-03-02 |