| NPI | 1134159692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM 2002-0186) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MS 19045) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-10-16 |