| NPI | 1336584572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2018-00560) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 191569) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2025-03-31 |