| NPI | 1366458507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MI 4301075891) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TN MD41255) |
| 207R00000X Internal Medicine (Licence: MI 4301075891) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-03-07 |