| NPI | 1386820413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TN 52782) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 52782) |
| 207R00000X Internal Medicine (Licence: IL 125049524) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2023-02-09 |