| NPI | 1275631632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS012385) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA 05012385) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-15 |