| NPI | 1235335456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 52135) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2018-01250) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2023-05-18 |