| NPI | 1487918520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301507875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301507875) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 49899) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-10-02 |