| NPI | 1417226721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2023-02989) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: UT 11729248-1205) |
| 207R00000X Internal Medicine (Licence: OH 35.125862) | |
| 207R00000X Internal Medicine (Licence: IN 01070789A) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2023-11-09 |