| NPI | 1518340454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 37316) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL MD.37316) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-03-17 |