| NPI | 1366490914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD27337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46569) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-01-28 |