| NPI | 1316029218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN MD48936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD48936) |
| 207R00000X Internal Medicine (Licence: MI 4301077062) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301077062) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-03-25 |