| NPI | 1295183291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR DO212958) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO212958) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA OS021030) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-08-29 |