| NPI | 1205279791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 191771) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2020027065) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-01-11 |