| NPI | 1174930051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 12472361-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-143545) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA TD61219578) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 63293) | |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2024-05-21 |