| NPI | 1457708059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: DC MD210001523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267378) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-03-20 |