| NPI | 1295398261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 33111) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TN 70651) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-08-01 |