| NPI | 1427725282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT228800) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R-12246) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2023-05-31 |