| NPI | 1154553089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MD D0077449) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: VA 0101257036) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-07-26 |