| NPI | 1508962093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 029215) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2021-0795) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-10-28 |