| NPI | 1497108153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2020037811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068318) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-02-12 |