| NPI | 1386360956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT230947) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12591) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-06-19 |