| NPI | 1396956165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.204452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-1940) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MS 20439) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-12-14 |