| NPI | 1225015654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101252742) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 61286) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 46120) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E4687) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-10-31 |