| NPI | 1255852570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MN 67383) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 272532) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VT 042-0016744) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2024-01-10 |