| NPI | 1154524288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SD 8081) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 54579) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-06-21 |