| NPI | 1306046214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME119764) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48779) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01068818A) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-08-05 |