| NPI | 1205322286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MT 117308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072887) |
| 207RN0300X Internal Medicine Nephrology (Licence: MO 2021017604) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-06-23 |