| NPI | 1174194039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023018867) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2021022127) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-06-23 |