| NPI | 1316396393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS019873) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017290) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2021-06-24 |