| NPI | 1326600495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KY 59691) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074017) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2024-10-01 |