| NPI | 1548282809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 20313) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD419816) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-02-01 |