| NPI | 1528215019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MS 24338) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 301812) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-02-12 |