| NPI | 1336701689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NE 36286) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 8628) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-53112) | |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2024-08-06 |