| NPI | 1205020666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2023018812) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 33151) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-06-08 |