| NPI | 1396275491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 92656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213642) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 88102) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-06-30 |