| NPI | 1114593597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 72371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T9515) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-06-10 |