| NPI | 1164693008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 50352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 50352) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MT187697) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2022-03-23 |