| NPI | 1508905597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2010-0232) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.205163) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-02-07 |