| NPI | 1376098657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.48301) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD471984) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-08-01 |